ArticleJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography2018
Longitudinal Changes in Right Ventricular Function in Tetralogy of Fallot in the Initial Years after Surgical Repair.
Article in Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Clinical Applications of Right Ventricular Strain by Two-Dimensional Speckle-Tracking Echocardiography.Echocardiography (Mount Kisco, N.Y.) · 2026Review
- Echocardiographic Changes in Infants with Severe Congenital Diaphragmatic Hernia After Fetoscopic Endoluminal Tracheal Occlusion (FETO).Pediatric cardiology · 2026Article
- Association of preoperative Circulating biomarkers with echocardiographic measures of right ventricular strain five years after tetralogy of fallot repair.The international journal of cardiovascular imaging · 2025Article
- Right Ventricular and Outflow Tract Functional Characteristics After Repair of Tetralogy of Fallot with Major Aortopulmonary Collaterals.Pediatric cardiology · 2024Review
- Quantitative Measures of Right Ventricular Size and Function by Echocardiogram Correlate with Cardiac Catheterization Hemodynamics in Congenital Diaphragmatic Hernia.The Journal of pediatrics · 2023Article
- Biomarkers, Socioeconomic Factors, and Right Ventricular Function After Surgical Repair for Tetralogy of Fallot.Pediatric cardiology · 2023Article
- Right Ventricular Strain in Patients With Ductal-Dependent Tetralogy of Fallot.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2023Article
- Right atrial function early after tetralogy of Fallot repair.The international journal of cardiovascular imaging · 2022Article
- Biventricular strain and strain rate impairment shortly after surgical repair of tetralogy of Fallot in children: A case-control study.Health science reports · 2022Article
- Comprehensive evaluation of left ventricular deformation using speckle tracking echocardiography in normal children: comparison of three-dimensional and two-dimensional approaches.Cardiovascular ultrasound · 2022Article
- Magnetic Resonance Imaging-based Right Ventricular Strain Evaluation.Journal of cardiovascular imaging · 2022Article
- Right Ventricular Strain Is Associated With Increased Length of Stay After Tetralogy of Fallot Repair.Journal of cardiovascular imaging · 2022Article
- Cardiac MRI-Derived Myocardial Deformation Parameters Correlate with Pulmonary Valve Replacement Indications in Repaired Tetralogy of Fallot.Pediatric cardiology · 2021Article
- The Challenge of Echocardiography in the Accurate Assessment of the Right Ventricle and Pulmonary Insufficiency.Arquivos brasileiros de cardiologia · 2021Article
- Right Ventricular Strain, Brain Natriuretic Peptide, and Mortality in Congenital Diaphragmatic Hernia.Annals of the American Thoracic Society · 2020Article
- Tetralogy of Fallot: cardiac imaging evaluation.Annals of translational medicine · 2020Review
- Global Longitudinal Strain of the Systemic Ventricle Is Correlated with Plasma Galectin-3 and Predicts Major Cardiovascular Events in Adult Patients with Congenital Heart Disease.Medicina (Kaunas, Lithuania) · 2020Article
- Emerging clinical applications of strain imaging and three-dimensional echocardiography for the assessment of ventricular function in adult congenital heart disease.Cardiovascular diagnosis and therapy · 2019Review
- 2-Year Outcomes After Complete or Staged Procedure for Tetralogy of Fallot in Neonates.Journal of the American College of Cardiology · 2019Article
- Assessment of global and regional strain left ventricular in patients with preserved ejection fraction after Fontan operation using a tissue tracking technique.The international journal of cardiovascular imaging · 2019Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundRight ventricular (RV) dysfunction is associated with adverse long-term outcomes in patients with tetralogy of Fallot. Little is known about RV function in the first years after surgical repair. The aim of this study was to investigate perioperative changes in myocardial deformation using global longitudinal strain.
methodsA retrospective analysis of patients with surgically repaired tetralogy of Fallot was performed. Global longitudinal peak systolic RV strain was measured on early postoperative echocardiograms, two subsequent postoperative echocardiograms through 2 years postoperatively, and preoperative echocardiograms, when available. Preoperative and late follow-up strain was compared with strain in 0- to 8-month-old and 1- to 4-year-old control subjects, respectively.
resultsForty-seven patients were included. Compared with postoperative strain (7 ± 7 days postoperatively), strain at follow-up 1 (8.3 ± 4 months postoperatively) was significantly improved (-12.3 ± 3.3% vs -18.8 ± 2.5%, P < .001), with no additional improvement 23.2 ± 6 months postoperatively (-18.8 ± 2.5% vs -19.8 ± 3.1%, P = .12). Postoperative strain was worse than preoperative strain (n = 25, -12.5 ± 3.6% vs -18.4 ± 2.9%, P < .001). Compared with control subjects, preoperative strain was similar (-19.3 ± 3.8% vs -18.4 ± 2.9%, P = .30), though late follow-up strain was significantly worse (-27.7 ± 2.8% vs -19.8 ± 3.1%, P < .001).
conclusionsRV global longitudinal strain worsens in the early postoperative period following surgical repair of tetralogy of Fallot but recovers through 2 postoperative years. Despite recovery to preoperative values, the presence of RV dysfunction compared with control subjects suggests that long-term dysfunction may begin early. The trajectory of RV dysfunction through the later years needs further study.
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